MaryLynn Donnelly, Nurse ConsultantChildren’s Special Health ServicesMt Dept of Public Health and Human Services

Children and Youth with Special Health Care Needs are:

• Children with developmental delays or disabilities, such as learning disabilities, sensory impairment, and mental retardation

• Children with ongoing medical conditions, such as diabetes, asthma, chronic renal disease, CF, congenital heart disease

• Children with emotional or behavioral problems such as autism and psychiatric disorders

Serving children with special health care for many years….

• Coordinate and contract for specialty clinics to reduce out of state travel and care

• Provide financial assistance for treatment and prescription drugs

• Provides resource, referral, and training opportunities for families and providers

• Coordinate statewide and local programs to prevent service gaps or overlap

CSHS Activities

Limited Financial Assistance

Covered conditions include:

• Asthma

• Cystic Fibrosis

• Diabetes

• Epilepsy

• Spina bifida

• Cerebral Palsy/Spasticity Management

• Cleft/Craniofacial Clinic

• Diabetes Clinic

• Endocrine Clinic

• Gastrointestinal Clinic

• Genetic Evaluation & Outreach Services

• Genitourinary Clinic

Ensure a broad range of Pediatric Specialty Clinics:

• Juvenile Arthritis

• Metabolic Clinic

• Muscular Dystrophy

• Neural Tube Defects /Spina Bifida Clinic

• Neonatal Intensive Care Follow Up Clinic

• Neurology Outreach Clinics

• Pulmonary Clinics

• Rehabilitation Clinic

Clinics continued..

Partnerships with local communities provided regional pediatric specialty clinic access for 3437 Montana children & youth with special health care needs, a 10% increase from 2008.

In 2009, 754 of those visits were to pulmonary clinics held in Missoula, Great Falls, and Helena for asthma and other respiratory conditions.

70% of visits were for asthma disorders

During Calendar Year 2009

Jerrold Eichner MD1400 29th Street SGreat Falls MT 59405-5363(W) 454-2171(W) 800-421-1649(F) 771-3009jerrold.eichner@gfclinic.com

Pediatric Pulmonologist

Joline Hartze, RN, Clinic CoordinatorTerry Halls, RN, Clinic Coordinator

Community Medical Center2618 South Avenue WestMissoula MT 59804-6406Phone: 327-4329(toll free) 888-506-9366Fax: 327-5199

Western Region Pediatric Specialty Clinic

Krystal Tweet, RN, Clinic CoordinatorJulie LaRoque, RN, Clinic Coordinator

Great Falls Clinic1400 29th Street South, Great Falls MT 59406-5353(W) 406-771-3360(toll free) 800-421-1649(F) 406-771-3009krystal.tweet@gfclinic.com

North Central Region Pediatric Specialty Clinics

Cyndi Leaphart, RN, Clinic CoordinatorStacy Smith, RN, Clinic Coordinator

Medical Arts South Ste 2001230 N 30th StreetBillings MT 59101-0128(W) 237-8199(toll free) 866-822-1411(F) 237-4285

Eastern Region Pediatric Specialty Clinics

Jerimiah Lysinger, MDBillings Clinic-Pediatric Specialties Clinic2800 Tenth Ave. NorthBillings, MT 59107Phone: 406 238-5137 or 406 238-5097Fax: 406 438-2278jlysinger@billingsclinic.org

Pediatric Pulmonologist

Pediatric patients in Billings, with outreach clinics in Bozeman and Miles City